NPI | 1881468890 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA SUSSAL Owner 301-982-3437 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-11-09 |
Last Update Date | 2023-11-09 |